How much rates vary
Facilitymedian $8,710 · 10th to 90th $1,288 to $21,380Professionalmedian $1,380 · 10th to 90th $977 to $8,511
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $1,023.29 Median $3,090.30 Typical High $8,317.64 | Facility | None | $1,023.29 | $3,090.30 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $9,332.54 Median $15,488.17 Typical High $23,988.33 | Facility | None | $9,332.54 | $15,488.17 | $23,988.33 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $1,122.02 Median $1,479.11 Typical High $1,698.24 | Professional | None | $1,122.02 | $1,479.11 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $9,549.93 Typical High $11,220.18 | Facility | None | $512.86 | $9,549.93 | $11,220.18 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,380.38 Typical High $1,621.81 | Professional | None | $1,202.26 | $1,380.38 | $1,621.81 |
Medica Setting Facility Modifier None Typical Low $1,202.26 Median $1,737.80 Typical High $8,709.64 | Facility | None | $1,202.26 | $1,737.80 | $8,709.64 |
Medica Setting Professional Modifier None Typical Low $933.25 Median $1,318.26 Typical High $8,511.38 | Professional | None | $933.25 | $1,318.26 | $8,511.38 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $4,677.35 Typical High $9,120.11 | Facility | None | $1,230.27 | $4,677.35 | $9,120.11 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,174.90 Typical High $1,698.24 | Professional | None | $977.24 | $1,174.90 | $1,698.24 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | 52 · Reduced service | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 53 · Discontinued | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | 54 · Surgery only | $912.01 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | 55 · Aftercare only | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 56 · Pre-op care only | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $851.14 | $851.14 | $851.14 |
Where Oklahoma sits
The same service costs 6.9 times more in Alaska than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Physician feeFacility fee
AK $18,481HI $2,671
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.